Sample Letters and Forms

After a supervisor and an employee discuss a flexible work arrangement proposal and come to an agreement, the supervisor should summarize the discussion and the decision in a letter to the employee. The memorandum needs to include: 

  • A detailed description of the schedule the employee will follow
  • A description of the work expectations
  • A time frame for the pilot test of the new arrangement
  • An indication of when the arrangement will be reviewed and evaluated
  • If there is a change of status, such as the employee no longer working a full-time or part-time schedule, you need to complete a personnel action notice form.

Examples of memos from supervisors to employees:

Sample Flexible Work Arrangement Agreement

Sample Flexible Work Arrangement Evaluation